highly significantP = 0.003
Using the mentioned macronutrients and questionnaire derived intake variables as covariates in the analysis of disease‐associated shifts in microbial beta‐diversity yielded no significant associations ( P > 0.05, respectively) and also revealed only minor effects on the still highly significant change in community composition associated with PSC ( P = 0.003, R 2 = 0.019). 4 DISCUSSION It is unclear, to which extent reported single centre microbiota studies in PSC were influenced by environmental factors and whether reported associations would remain significant across different geographical regions.